Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $364.65 / $466.58 / $718.22	Professional		$364.65	$466.58	$718.22
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $469.00 / $469.00 / $598.39	Professional		$469.00	$469.00	$598.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $612.94 / $612.94 / $612.94	Facility		$612.94	$612.94	$612.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $447.45 / $447.45 / $612.94	Professional		$447.45	$447.45	$612.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $612.75 / $875.36 / $1,260.52	Professional		$612.75	$875.36	$1,260.52
United Facility/Professional Facility Modifier Low / Median / High Price $336.48 / $655.05 / $672.95	Facility		$336.48	$655.05	$672.95
United Facility/Professional Professional Modifier Low / Median / High Price $409.42 / $460.48 / $692.50	Professional		$409.42	$460.48	$692.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $529.69 / $529.69 / $612.75	Professional		$529.69	$529.69	$612.75